Klock, Angela M

Klock, Angela M is an individual health care provider with primary practice located at 35 Hope Drive Suites 202/204, Hershey PA 17033-2086. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Klock, Angela M can be contacted via phone (717) 531-3503.

Contact Information

Primary practice address
35 Hope Drive Suites 202/204 Hershey PA 17033-2086
Phone: (717) 531-3503
Fax: (717) 531-4375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN507577L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW010391 Pennsylvania

Profile Details

NPI number 1609056092
LBN Legal business name Klock, Angela M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2007
Last updated Oct 12th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609056092 NPPES
Pennsylvania MEDICAID 101814491
Pennsylvania MEDICAID 100746682 0006

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